Individual provider Active NPI

John Scullin

  • Orthopaedic Surgery Physician
  • Greenville, PA
National Provider Identifier
1932234044
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD017785E Issued in PA
Practice address
1 Greenville Ortho Center
Greenville, PA 16125-1210
Phone
(724) 588-7250
Fax
(724) 588-1559
NPI assigned
Feb 22, 2007
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD017785E PA Primary

Addresses

Primary practice location

1 Greenville Ortho Center
Greenville, PA 16125-1210

Mailing address

1 Greenville Orthopedic Ctr
Greenville, PA 16125-1210

Other identifiers 1

IdentifierTypeStateIssuer
0007784780002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000101 PA Practitioner - Orthopedic Surgery 8123017977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Joint Replacement Institute, LLC Orthopaedic Surgery CurrentSince May 1, 2022 Accepting new patients
Whole Health Wellness Institute, PLLC Orthopaedic Surgery PastSince Apr 6, 2023 Accepting new patients

Locations

321 Arch St
Ste 101
Meadville, PA 16335
Phone (814) 333-7109

225 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 962-3553

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_WHJ
  • Direct secure messaging: jscullin_whj@whj2106.srs-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1932234044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENVILLE ORTHOPEDIC CTR",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENVILLE ORTHO CENTER",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251210",
            "telephone_number": "724-588-7250",
            "fax_number": "724-588-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLIN",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD017785E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007784780002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

Verify at the official NPI Registry.